| NPI | 1164277281 |
|---|---|
| Former Name | CORNELIE HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 106630) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-05-24 |